Deficiency Records for Highland House Rehabilitation and Healthcare
Updated as of March 01, 2024
A list of the most recent deficiencies for Highland House Rehabilitation and Healthcare. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-11-29 | 2023-12-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-29 | 2023-12-15 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-11-29 | 2023-12-15 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-08-24 | 2023-09-19 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-08-24 | 2023-09-19 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-06-14 | 2023-06-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-26 | 2023-06-14 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2023-04-26 | 2023-06-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-08 | 2023-06-14 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-03-08 | 2023-04-26 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-03-08 | 2023-04-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-08 | 2023-04-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-08 | 2023-04-26 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-03-08 | 2023-04-26 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-11 | 2022-08-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-11 | 2022-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-11 | 2022-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-11 | 2022-08-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-11 | 2022-08-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-11 | 2022-08-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-11 | 2022-08-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-11 | 2022-08-26 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-06-24 | 2022-07-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-24 | 2022-07-22 | N |
| Provide appropriate foot care. | Health | 2022-06-24 | 2022-07-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-24 | 2022-07-22 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-06-24 | 2022-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-24 | 2022-07-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-24 | 2022-06-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-24 | 2022-06-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-05 | 2022-01-28 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-10-01 | 2021-10-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-01 | 2021-10-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-01 | 2021-10-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-28 | 2021-06-25 | N |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2021-05-28 | 2021-06-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-28 | 2021-06-25 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-05-28 | 2021-06-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-28 | 2021-06-25 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-05-28 | 2021-06-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-28 | 2021-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-28 | 2021-06-25 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2021-05-28 | 2021-06-25 | N |
| Post nurse staffing information every day. | Health | 2021-05-28 | 2021-06-10 | N |
